Single-cell sequencing reveals that endothelial cells, EndMT cells and mural cells contribute to the pathogenesis of cavernous malformations.
Single-cell sequencing reveals that endothelial cells, EndMT cells and mural cells contribute to the pathogenesis of cavernous malformations.
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DOI:
10.1038/s12276-023-00962-w
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发表时间:
2023-03
影响因子:
12.8
通讯作者:
Wang, Yibo
中科院分区:
文献类型:
--
作者:
Ren, Jian;Xiao, Xiao;Li, Ruofei;Lv, Cheng;Zhang, Yu;Wang, Leiming;Hong, Tao;Zhang, Hongqi;Wang, Yibo
Cavernous malformations (CMs) invading the central nervous system occur in ~0.16–0.4% of the general population, often resulting in hemorrhages and focal neurological deficits. Further understanding of disease mechanisms and therapeutic strategies requires a deeper knowledge of CMs in humans. Herein, we performed single-cell RNA sequencing (scRNA-seq) analysis on unselected viable cells from twelve human CM samples and three control samples. A total of 112,670 high-quality cells were clustered into 11 major cell types, which shared a number of common features in CMs harboring different genetic mutations. A new EC subpopulation marked with PLVAP was uniquely identified in lesions. The cellular ligand‒receptor network revealed that the PLVAP-positive EC subcluster was the strongest contributor to the ANGPT and VEGF signaling pathways in all cell types. The PI3K/AKT/mTOR pathway was strongly activated in the PLVAP-positive subcluster even in non-PIK3CA mutation carriers. Moreover, endothelial-to-mesenchymal transition (EndMT) cells were identified for the first time in CMs at the single-cell level, which was accompanied by strong immune activation. The transcription factor SPI1 was predicted to be a novel key driver of EndMT, which was confirmed by in vitro and in vivo studies. A specific fibroblast-like phenotype was more prevalent in lesion smooth muscle cells, hinting at the role of vessel reconstructions and repairs in CMs, and we also confirmed that TWIST1 could induce SMC phenotypic switching in vitro and in vivo. Our results provide novel insights into the pathomechanism decryption and further precise therapy of CMs. Sequencing all the RNA in single cells has provided clues to the development of cavernous malformations (CMs), small clusters of thin-walled misshapen blood vessels in the brain or nervous system. CMs can result in hemorrhage or neurological symptoms, and their causes are poorly understood. A team led by Yibo Wang at Peking Union Medical College and Hongqi Zhang and Tao Hong at Capital Medical University in Beijing, China, sequenced all the RNA in over 100,000 single cells from samples from CM patients and healthy controls, allowing them to identify molecular events that can lead to CMs. They demonstrated how the gene expression landscape is altered, especially in ECs, EndMT cells and mural cells. These results provide a strategy for investigating the genetic and molecular causes of CMs, and may help in identifying new therapies.
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影响因子:
16.6
作者:
Malinyerno, Matteo;Maderna, Claudio;Dejana, Elisabetta
通讯作者:
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DOI:
10.1016/j.jcmgh.2015.05.001
发表时间:
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